Organization
EXTREMITY MRI SPECIALISTS INC
Active
Other names
MR Imaging of West Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
SYED TIRMIZI (PRESIDENT)
(630) 876-1600
Entity
Organization
Contact information
Practice address
1887 N NELTNOR BLVD, WEST CHICAGO, IL 60185-5932
(630) 876-1600
(630) 876-1604
Mailing address
1887 N NELTNOR BLVD, WEST CHICAGO, IL 60185-5932
(630) 876-1600
(630) 876-1604
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232665
BLUESHIELD GROUP NUMBER
IL
01
—
DD6699
RAILROAD MEDICARE GROUP #
IL
Enumeration date
05/22/2006
Last updated
02/09/2012
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